KETAN A KAPADIA (M.D.) – Urology Physician, NPI 1043274152
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
900 UROLOGY in FL
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Provider Addresses for KETAN A KAPADIA (M.D.)
County Road, Rumford Mill, Rumford, Oxford County, Maine, 04257, United States
OXFORD, FL 344842951
Phone: (352) 205-8981
Fax: (352) 391-6498
Type: Mailing
5747, 38th Avenue North, Saint Petersburg, Pinellas County, Florida, 33710, United States
ST PETERSBURG, FL 337101925
Phone: (727) 381-8667
Fax: (727) 345-1951
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 168 Open Payments records for all available years, with a total value of $3,747.
Total Amount is formed as General ($3,747) + Research ($0) + Ownership ($0) = $3,747.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($484).
Total Amount
$3,747
General + Research + Ownership
Payments
168
Total payment records
General Amount
$3,747
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
3
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $484 |
| Sumitomo Pharma America, Inc. | $417 |
| Astellas Pharma US Inc | $248 |
| Janssen Biotech, Inc. | $193 |
| COLOPLAST CORP | $180 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-29
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080529000697 | I | Urology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3145 | Injection, testosterone undecanoate, 1 mg | 76,500 | 25 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 1,729 | 654 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,708 | 610 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 628 | 408 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 608 | 414 | $0 |
Insurance plans in this area (ZIP 34484)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| U R O L O G Y | FL | |
| Nurse Practitioner | FL | |
| U R O L O G Y | FL | |
| - | FL | |
| U R O L O G Y | MA | |
| U R O L O G Y | FL | |
| U R O L O G Y | FL | |
| Nurse Practitioner | FL |
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